IPACHTE#6+—+3 Harnett County Department of Public Health 29298
Improvement Permit
A building permit cannot be issued with only an Improvement PermitL.,,, "
PROPERTY LOCATION: 21 (ash s � h i� r (So%t c
ISSUED TO: IS SUBDIVISION in%)4rnr-A LOTS#
NEW hC REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 223!?. 56i
Proposed Wastewater System Type: Z,590 &A.scA c u,n .,gi -.
Projected Daily Flow: 7-140 GPD
Number of bedrooms: 'Z- Number of Occupants: `i- Max
Basement []Yes 9111
Pump Required: []Yes
Type of Water Supply:
Permit conditions:
❑ No gree uired based on final location and elevations of facilities
❑ Community fblic ❑ Well Distance from well feet
Permit valid for.
firs
❑ No expiration
Authorized State Agentzr' G te: /-//-/7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the etilth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the sire plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ande9rtand the rrptem type rperifed it different from the type rperiled on the app/icatioa / accept the rperilcatiem of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject m revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
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Authorized State Agent: R `J `'`� Date: ! // / 7
onstruction Authorization Expiration Date:
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950,
.1 9S2, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references
into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: S 1YI�(L� Pre,
PROPERTY LOCATION: 2\�
M6 5 �>
6x�us j it�rr cls Dt . �_ 5'2 1046
'L fS
SUBDIVISION 6VErsr-A
%Zce LOT # 91
Facility Type: 2
[N � ew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** p ,.caw
-\-eaZS tZe 1,Gs.:r < e y"
(Initial) Wastewater Flow: - GPD
(See note below, if applicable ❑) x
klmp
-'G rS (Repair)
Installation Requirements/Conditions
Number of trenches - r -
Septic Tank Size i c e gallons
Exact length of each trench 8O feet
Trench Spacing: % Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. -►` inches
Maximum Trench Depth of. ?/'- ZL " inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: h. TON vs.
GPM
inches below pipe
92m(a
Aggregate Depth: Z inches above pipe
Conditions: MGV neo
Lx vee. W tiAasvacd-L'- C41il Lch cecax, Jy lern /Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ande9rtand the rrptem type rperifed it different from the type rperiled on the app/icatioa / accept the rperilcatiem of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject m revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
.' r!J6cS
Authorized State Agent: R `J `'`� Date: ! // / 7
onstruction Authorization Expiration Date:
HTE# b' S y6y,:� Permit # 2 9 Z ?,F
Harnett County Department of Public Health
Site Sketch `
61d S i!�,e 28
PROPERTY LO(ATON: Lt �j 6wf, rA i�m>> nr 5-a
ISSUED TO: !S ltlau-IC SUBDIVISION /,r Fr,rti JzC, ce LOT #
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Authorized State Agent�� � / - r Date: —« 'l
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOH/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Yf`t'- Applicant: 5
Address:'L 1 { .z d, Date Evaluated: 7
Proposed Facility 1,, <p --I) Design Flow (.1949):2"z
Location of Site: t� Property Recorded:
Water Supply. ublic❑ Individual E] Well
Evaluation Metlod:❑ a Boring ❑ Pit ❑ Cut
Type of Wastewater. 0-8ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: cl 46
❑ Spring ❑ Other
❑ Mixed
r r
2�{-Z�
P
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1
.1940
SOH, MORPHOLOGY
.1941
O]rHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horimn
Depth
(in.)
.1941
StrucMe/
Texture
.1941
Coasisteece
Mineral
1942
Soil
Wetness/
Color
.1943
Sor7
.1956
Sapm
Class
.1944
Restr
Hone:
Profile
Class
<AR
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of
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Z
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5s
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If -It
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Prov 35• 5 h
Available S e (.1943 Evaluated By:
SYaelu Ts 7.5 :� , Others Present:
Site LTAR �n . e/"`'�S M-... .2•i